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A fatal pediatric infection with a C1-like subgenogroup enterovirus A71: case study and enterovirus A71 epidemiology in Finland C1 样亚基因组肠道病毒 A71 致命儿科感染病例研究与芬兰肠道病毒 A71 流行病学
Q4 VIROLOGY Pub Date : 2024-03-25 DOI: 10.3389/fviro.2024.1381001
Tea Nieminen, Anne J. Jääskeläinen, Erika Lindh, Soile Blomqvist, Carita Savolainen-Kopra
Enterovirus A71 (EV-A71) is among the most neuropathogenic non-polio enterovirus types and, in rare instances, can lead to severe or even fatal outcomes, particularly in children under 5 years of age. This case study presents clinical and microbiological findings from the initial documented severe pediatric EV-A71 case in Finland, identified in May 2019. The near-complete genome sequence confirms that the EV-A71 strain belongs to the newly identified recombinant C1-like EV-A71 genetic lineage, which emerged in 2015 and has since been circulating in Europe, causing severe cases among children in various European countries. Enhanced environmental surveillance revealed widespread circulation of EV-A71 in Finland in 2019. However, the overall number of EV clinical cases remained lower than in previous years.
肠道病毒 A71(EV-A71)是神经致病性最强的非脊髓灰质炎肠道病毒类型之一,在极少数情况下可导致严重甚至致命的后果,尤其是在 5 岁以下儿童中。本病例研究介绍了 2019 年 5 月在芬兰发现的首例记录在案的重症儿科 EV-A71 病例的临床和微生物学研究结果。近乎完整的基因组序列证实,EV-A71菌株属于新发现的重组C1类EV-A71基因系,该基因系于2015年出现,此后一直在欧洲流行,在欧洲各国造成了严重的儿童病例。加强环境监测发现,2019 年 EV-A71 在芬兰广泛流行。然而,EV临床病例总数仍低于往年。
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引用次数: 0
Persistent transgene expression in peripheral tissues one year post intravenous and intramuscular administration of AAV vectors containing the alphaherpesvirus latency-associated promoter 2 静脉注射和肌肉注射含有阿尔法疱疹病毒潜伏期相关启动子2的AAV载体一年后,外周组织中转基因的持续表达
Q4 VIROLOGY Pub Date : 2024-03-18 DOI: 10.3389/fviro.2024.1379991
Carola J. Maturana, Esteban A. Engel

Significant progress has been made in enhancing recombinant adeno-associated virus (rAAV) for clinical investigation. Despite its versatility as a gene delivery platform, the inherent packaging constraint of 4.7 kb imposes restrictions on the range of diseases it can address. In this context, we present findings of an exceptionally compact and long-term promoter that facilitates the expression of larger genes compared to conventional promoters. This compact promoter originated from the genome of the alphaherpesvirus pseudorabies virus, latency-associated promoter 2 (LAP2, 404 bp). Promoter driving an mCherry reporter was packaged into single strand (ss) AAV8 and AAV9 vectors and injected into adult C57BL/6 mice at a dose of 5 x 1011 vg/mouse by single intravenous or intramuscular administration. An ssAAV8 and ssAAV9 vector with elongation factor-1α promoter (EF1α, 1264 bp) was injected side-by-side for comparison. After 400 days, we sacrificed the mice and examined mCherry expression in liver, kidney, heart, lung, spleen, pancreas, skeletal muscle, and brain. We found that LAP2 exhibited robust transgene expression across a wide range of cells and tissues comparable to the larger EF1α, which is currently recognized as a rather potent and ubiquitous promoter. The AAV8-LAP2 and AAV9-LAP2 constructs displayed strong transduction and transcription in liver, kidney, and skeletal muscle on both route of administration. However, no expression was detected in the heart, lung, spleen, pancreas, and brain. The outcomes of our investigation propose the viability of LAP2 for gene therapy applications demanding the expression of large or multiple therapeutic genes following a single viral-vector administration.

在加强重组腺相关病毒(rAAV)的临床研究方面取得了重大进展。尽管重组腺相关病毒(rAAV)是一种多功能基因递送平台,但其固有的 4.7 kb 封装限制了它所能治疗的疾病范围。在这种情况下,我们发现了一种异常紧凑的长期启动子,与传统启动子相比,它能促进较大基因的表达。这种紧凑型启动子源自阿尔法疱疹病毒伪狂犬病毒的基因组--潜伏期相关启动子 2(LAP2,404 bp)。将驱动 mCherry 报告基因的启动子打包到单链(ss)AAV8 和 AAV9 载体中,通过单次静脉注射或肌肉注射,以 5 x 1011 vg/mouse 的剂量注射到成年 C57BL/6 小鼠体内。为了进行比较,我们同时注射了带有伸长因子-1α启动子(EF1α,1264 bp)的ssAAV8和ssAAV9载体。400 天后,我们将小鼠处死,并检测了小鼠肝脏、肾脏、心脏、肺脏、脾脏、胰腺、骨骼肌和大脑中 mCherry 的表达。我们发现,LAP2 在广泛的细胞和组织中表现出强大的转基因表达能力,可与较大的 EF1α 相媲美。两种给药途径的 AAV8-LAP2 和 AAV9-LAP2 构建体在肝、肾和骨骼肌中都表现出很强的转导和转录能力。然而,在心脏、肺、脾脏、胰腺和大脑中均未检测到表达。我们的研究结果证明了 LAP2 在基因治疗应用中的可行性,因为基因治疗需要在单次病毒载体给药后表达大量或多个治疗基因。
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引用次数: 0
Virological characteristics correlating with SARS-CoV-2 spike protein fusogenicity 与 SARS-CoV-2 尖峰蛋白致病性相关的病毒学特征
Q4 VIROLOGY Pub Date : 2024-02-28 DOI: 10.3389/fviro.2024.1353661
MST Monira Begum, Kimiko Ichihara, Otowa Takahashi, Hesham Nasser, Michael Jonathan, Kenzo Tokunaga, Isao Yoshida, Mami Nagashima, Kenji Sadamasu, Kazuhisa Yoshimura, The Genotype to Phenotype Japan (G2P-Japan) Consortium, Kei Sato, Terumasa Ikeda, Keita Matsuno, Naganori Nao, Hirofumi Sawa, Shinya Tanaka, Masumi Tsuda, Lei Wang, Yoshikata Oda, Zannatul Ferdous, Kenji Shishido, Takasuke Fukuhara, Tomokazu Tamura, Rigel Suzuki, Saori Suzuki, Hayato Ito, Jumpei Ito, Yu Kaku, Naoko Misawa, Arnon Plianchaisuk, Ziyi Guo, Alfredo Jr. Hinay, Keiya Uriu, Yusuke Kosugi, Shigeru Fujita, Jarel Elgin Mendoza Tolentino, Luo Chen, Lin Pan6, Mai Suganami, Mika Chiba, Ryo Yoshimura, Kyoko Yasuda, Keiko Iida, Naomi Ohsumi, Adam Patrick Strange, Hiroyuki Asakura, Isao Yoshida, So Nakagawa, Akifumi Takaori-Kondo, Kotaro Shirakawa, Kayoko Nagata, Ryosuke Nomura, Yoshihito Horisawa, Yusuke Tashiro, Yugo Kawai, Kazuo Takayama, Rina Hashimoto, Sayaka Deguchi, Yukio Watanabe, Ayaka Sakamoto, Naoko Yasuhara, Takao Hashiguchi, Tateki Suzuki, Kanako Kimura, Jiei Sasaki, Yukari Nakajima, Hisano Yajima, Takashi Irie, Ryoko Kawabata, Kaori Tabata, Ryo Shimizu1, Yuka Mugita1, Takamasa Ueno, Chihiro Motozono, Mako Toyoda, Akatsuki Saito, Maya Shofa, Yuki Shibatani, Tomoko Nishiuchi
Introduction

The severe acute respiratory syndrome coronavirus (SARS-CoV-2) spike (S) protein is essential in mediating membrane fusion of the virus with the target cells. Several reports demonstrated that SARS-CoV-2 S protein fusogenicity is reportedly closely associated with the intrinsic pathogenicity of the virus determined using hamster models. However, the association between S protein fusogenicity and other virological parameters remains elusive.

Methods

In this study, we investigated the virological parameters (e.g., S1/S2 cleavage efficiency, plaque size, pseudoviral infectivity, pseudovirus entry efficiency, and viral replication kinetics) of eleven previous variants of concern (VOCs) and variants of interest (VOIs) correlating with S protein fusogenicity.

Results and discussion

S protein fusogenicity was found to be strongly correlated with S1/S2 cleavage efficiency and plaque size formed by clinical isolates. However, S protein fusogenicity was less associated with pseudoviral infectivity, pseudovirus entry efficiency, and viral replication kinetics. Taken together, our results suggest that S1/S2 cleavage efficiency and plaque size could be potential indicators to predict the intrinsic pathogenicity and S protein fusogenicity of newly emerged SARS-CoV-2 variants.

导言严重急性呼吸系统综合症冠状病毒(SARS-CoV-2)的尖峰(S)蛋白在介导病毒与靶细胞的膜融合中起着至关重要的作用。一些报道表明,SARS-CoV-2 S 蛋白的融合性与利用仓鼠模型测定的病毒内在致病性密切相关。本研究调查了病毒学参数(如:S1/S2裂解效率、S1/S2裂解率、S1/S2裂解率、S1/S2裂解率、S1/S2裂解率、S1/S2裂解率、S1/S2裂解率、S1/S2裂解率)、结果与讨论发现S蛋白致熔性与临床分离株形成的S1/S2裂解效率和斑块大小密切相关。然而,S 蛋白致熔性与假病毒感染性、假病毒进入效率和病毒复制动力学的相关性较低。综上所述,我们的研究结果表明,S1/S2裂解效率和斑块大小可能是预测新出现的SARS-CoV-2变异株的内在致病性和S蛋白致熔性的潜在指标。
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引用次数: 0
Decoding chikungunya virus non-structural protein 3 interacting partners in THP-1 derived infected macrophages through proteomic profiling 通过蛋白质组剖析解码基孔肯雅病毒非结构蛋白 3 在 THP-1 衍生的受感染巨噬细胞中的相互作用伙伴
Q4 VIROLOGY Pub Date : 2024-02-28 DOI: 10.3389/fviro.2024.1310161
Priyanshu Srivastava, Nimisha Mishra, Sakshi Chaudhary, Sujatha Sunil
Introduction

Chikungunya virus (CHIKV), an alphavirus transmitted by mosquitoes, has instigated several epidemics in recent years, sparking intensive efforts to understand its biology. Despite progress, the understanding of CHIKV’s molecular interactions with host cell constituents, especially in susceptible cells such as macrophages remains limited.

Methods

We used a mass spectrometry platform to characterize the interactions between CHIKV-nsP3, a viral nonstructural protein, and proteins in human THP-1 macrophage cells.

Results and Discussion

Our findings revealed 196 high-confidence interactions primarily involving nsP3. Further, the sub-cellular localization, and pathways these interacting proteins might be involved in were deduced using computational methods. The interacting partners were further incorporated into a comprehensive host-virus interaction network derived from extensive literature on alphavirus-host interactions. Collectively, this study offers the first interaction map between CHIKV nsP3 protein and THP-1 cells, illuminating new probable roles of host cell proteins in CHIKV’s replication cycle.

导言:基孔肯雅病毒(CHIKV)是一种通过蚊子传播的α病毒,近年来引发了多次流行病,引发了人们对其生物学特性的深入研究。尽管取得了进展,但人们对 CHIKV 与宿主细胞成分(尤其是巨噬细胞等易感细胞)之间的分子相互作用的了解仍然有限。方法我们使用质谱平台描述了病毒非结构蛋白 CHIKV-nsP3 与人 THP-1 巨噬细胞中蛋白质之间的相互作用。此外,我们还利用计算方法推断出了这些相互作用蛋白的亚细胞定位和可能参与的途径。这些相互作用伙伴还被进一步纳入了一个全面的宿主-病毒相互作用网络,该网络来自于大量有关α-病毒-宿主相互作用的文献。总之,这项研究首次提供了CHIKV nsP3蛋白与THP-1细胞之间的相互作用图谱,揭示了宿主细胞蛋白在CHIKV复制周期中可能扮演的新角色。
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引用次数: 0
The roles of HCV core protein and its binding host factor in virus assembly and release HCV 核心蛋白及其结合宿主因子在病毒组装和释放中的作用
Q4 VIROLOGY Pub Date : 2024-02-23 DOI: 10.3389/fviro.2024.1383261
Kyo Izumida, Eiji Morita

Hepatitis C virus (HCV) is a well-known virus that causes liver diseases such as liver cirrhosis and hepatocellular carcinoma. For several decades, numerous studies have been conducted to unravel the life cycle and molecular mechanisms of this virus with the aim of developing strategies to combat diseases caused by its infection. In this review, we summarize HCV assembly to budding, focusing on one of the structural proteins, the core, a viral capsid that binds both the viral genome and host membrane, along with the core-interacting host partners. The HCV core matures in the endoplasmic reticulum (ER), localizes at the lipid droplet (LD), and shuttles between the LD and ER to form viral particles. This process is controlled by many host factors known to binds core proteins, such as diacylglycerol acyltransferase-1 (DGAT-1), Rab18, μ subunit of the clathrin adaptor protein complex 2 (AP2M1), nuclear pore complex protein 98 (Nup98), Cortactin, group IVA phospholipase A2 (PLA2G4A) etc. Virion budding is thought to involve contributions from endosomal sorting complexes required for transport (ESCRT), similar to other envelope viruses. We delved into potential perspectives to enhance our understanding of the HCV mechanism by drawing insights from existing studies.

丙型肝炎病毒(HCV)是一种众所周知的导致肝硬化和肝细胞癌等肝脏疾病的病毒。数十年来,人们进行了大量研究,以揭示这种病毒的生命周期和分子机制,从而开发出对抗由其感染引起的疾病的策略。在这篇综述中,我们总结了 HCV 从组装到出芽的整个过程,重点研究了其中一种结构蛋白--核心蛋白,即同时结合病毒基因组和宿主膜的病毒帽,以及与核心蛋白相互作用的宿主伙伴。HCV 核心在内质网(ER)中成熟,定位于脂滴(LD),并在 LD 和 ER 之间穿梭,形成病毒颗粒。这一过程受许多已知能与核心蛋白结合的宿主因子控制,如二酰甘油酰基转移酶-1(DGAT-1)、Rab18、clathrin 适应蛋白复合物 2(AP2M1)的μ亚基、核孔复合物蛋白 98(Nup98)、Cortactin、IVA 组磷脂酶 A2(PLA2G4A)等。与其他包膜病毒类似,病毒出芽被认为涉及运输所需的内体分拣复合物(ESCRT)的贡献。我们从现有研究中汲取灵感,深入探讨了增强我们对 HCV 机制理解的潜在视角。
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引用次数: 0
DNA methylation in long COVID 长 COVID 中的 DNA 甲基化
Q4 VIROLOGY Pub Date : 2024-02-22 DOI: 10.3389/fviro.2024.1371683
Yangfan Xiao, Sten H. Vermund

Long COVID (also termed Post-acute sequelae of COVID-19 [PASC]) refers to the chronic symptoms that survivors may experience after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and acute coronavirus disease 2019 (COVID-19) disease. Long COVID represents a global public health, medical, and nursing challenge that affects millions of people. As an emerging and evolving syndrome, long COVID manifests with many combinations of clinical signs and symptoms that healthcare providers and scientists are cataloging and struggling to understand. In this mini-review, we introduce the epigenetic battlefield of DNA methylation (DNAm) on which the virus and the host interact. We suggest ways in which DNAm phenomena and markers induced by this virus-host interaction may help clarify the pathology and prognosis of long COVID. Knowledge of DNAm characteristics of long COVID patients is limited as of this writing (early-2024), investigators have noted both the partial reversibility and the potential long-lasting persistence of the DNAm markers induced by acute COVID-19. Long-term sequelae seen in other coronavirus diseases such as severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) are potential references for long COVID in an effort towards more precise diagnosis and disease characterization, better prediction of outcomes, and the use of epigenetic phenomena towards development of new drugs and immunotherapies.

长期冠状病毒感染(又称 COVID-19 急性后遗症 [PASC])是指严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)感染和 2019 年急性冠状病毒病(COVID-19)发病后,幸存者可能出现的慢性症状。长期冠状病毒病是一项全球性的公共卫生、医疗和护理挑战,影响着数百万人。作为一种新出现和不断发展的综合征,长COVID表现为多种临床体征和症状组合,医疗服务提供者和科学家正在对其进行编目并努力加以理解。在这篇微型综述中,我们将介绍病毒与宿主相互作用的 DNA 甲基化 (DNAm) 这一表观遗传学战场。我们提出了病毒与宿主相互作用所诱导的 DNAm 现象和标记物可能有助于阐明长型 COVID 的病理和预后的方法。截至本文撰写之时(2024 年初),研究人员对长程 COVID 患者 DNAm 特征的了解还很有限,但他们注意到急性 COVID-19 诱导的 DNAm 标记具有部分可逆性和潜在的长期持续性。严重急性呼吸系统综合症(SARS)和中东呼吸系统综合症(MERS)等其他冠状病毒疾病中出现的长期后遗症是长COVID的潜在参考,可用于更精确的诊断和疾病特征描述、更好地预测结果以及利用表观遗传现象开发新药物和免疫疗法。
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引用次数: 0
ESCRT-III-dependent and -independent egress of herpesviruses 依赖于和不依赖于 ESCRT-III 的疱疹病毒出路
Q4 VIROLOGY Pub Date : 2024-02-22 DOI: 10.3389/fviro.2024.1378054
Jun Arii

Enveloped viruses complete their replication cycle by forming virions that bud from infected cells through membrane scission. The mechanisms by which this is achieved are less well-understood than the well-characterized membrane scission of vesicles budding inwards into the cytosol. The scission of vesicles that bud away from the cytosol is mediated by machinery of the endosomal sorting complexes required for transport (ESCRT)-III, which is highjacked by viruses of several different families. Other groups of viruses can bud independently of ESCRT-III activity. It has not been fully elucidated how the latter achieve this in the absence of host ESCRT-III, but it is known that some viral proteins directly mediate membrane scission. The Herpesviridae constitute a family of highly diverse viruses that bud at the inner nuclear membrane and cytoplasmic membranes in infected cells. Many investigators have attempted to determine the mechanism of membrane scission during herpesvirus budding, and have found this to be complex, not exactly conforming to either of the two methods. The present review attempts to synthesize the disparate findings into a model of herpesvirus egress based on both ESCRT-mediated and viral protein-mediated mechanisms.

包膜病毒通过膜裂解从感染细胞中形成病毒芽来完成复制周期。与向内萌发进入细胞质的囊泡的膜裂解相比,实现这一过程的机制尚不十分清楚。囊泡从细胞膜上脱落是由内体分拣转运复合物(ESCRT)-III 介导的。其他类病毒可以独立于 ESCRT-III 的活动而萌发。目前还没有完全阐明后者是如何在缺乏宿主 ESCRT-III 的情况下实现这一目标的,但已知一些病毒蛋白直接介导了膜裂解。疱疹病毒科是一个种类繁多的病毒家族,它们在受感染细胞的核内膜和细胞质膜上萌发。许多研究人员试图确定疱疹病毒出芽过程中膜裂解的机制,但发现这一机制非常复杂,并不完全符合两种方法中的任何一种。本综述试图将不同的研究结果综合为一个基于 ESCRT 介导和病毒蛋白介导机制的疱疹病毒出芽模型。
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引用次数: 0
Changing rates but persisting seasons: patterns of enterovirus infections in hospitalizations and outpatient visits in Denmark 2015-2022 变化的感染率和持续的季节:2015-2022 年丹麦住院和门诊肠道病毒感染模式
Q4 VIROLOGY Pub Date : 2024-02-13 DOI: 10.3389/fviro.2024.1346352
Caroline Klint Johannesen, Amanda Marie Egeskov-Cavling, Micha Phill Grønholm Jepsen, Theis Lange, Tyra Grove Krause, Ulrikka Nygaard, Thea K. Fischer
Background

Enteroviruses (EV) constitute a diverse group of viruses manifesting a broad spectrum of clinical presentations in humans ranging from mild skin manifestations to more severe central nervous system (CNS) infection. Severe infections are reported with increased frequency globally, albeit the burden of diseases and the evolution of circulating viruses is largely unknown. We aimed to systematically explore contemporary trends in hospitalizations attributed to EV infections using national hospitalization discharge data.

Methods

We utilized the Danish National Patient Register which holds information on all contacts to Danish hospitals. We covered eight full years (2015-2022). Length-of-stay and administrative procedure codes were used to distinguish hospital admissions from outpatient visits. We utilized burden of disease estimates and distribution statistics.

Results

We identified 1029 hospitalizations and 1970 outpatient visits due to EV infections. The hospital admissions were primarily associated with CNS-infections (n=570, 55.4%) and skin (n=252, 24.5%), with variation over the studied period. The admitted patients were predominately children (43.8%) though patients were identified in all ages. The clinical manifestation was associated with age, with CNS infections dominating in the neonates and adults, and skin infections dominating in children 1-2 years (17.2%). Outpatient visits were predominantly observed among children 1-2 years (55.0%), presenting with skin symptoms (77.9%). We show a seasonal pattern of EV infections with summer/fall peaks and markedly impact on the EV hospitalization burden related to COVID-19 mitigation measures including national lockdown periods. 25% of hospital admissions occurred during 2020-2022.

Conclusion

EV infections caused both hospital admissions and outpatient visits in the period studied, predominately among children aged 1-2 years. Overall, skin infections dominated the outpatient visits, while the majority of hospital admissions were due to CNS infections. The pandemic period did not change the seasonal pattern of EV infections but notably lowered the number of admissions to hospital with CNS infection and raised the number of outpatient admissions with skin infection.

背景埃博拉病毒(EV)是一组种类繁多的病毒,在人类中表现出广泛的临床表现,从轻微的皮肤表现到更严重的中枢神经系统(CNS)感染。尽管疾病负担和循环病毒的演化在很大程度上还不为人所知,但全球报告的严重感染越来越频繁。我们旨在利用全国住院出院数据,系统地探讨因 EV 感染而住院的当代趋势。我们的研究覆盖了整整八年(2015-2022 年)。住院时间和行政程序代码用于区分住院和门诊。我们使用了疾病负担估计值和分布统计。入院患者主要与中枢神经系统感染(570 人,55.4%)和皮肤感染(252 人,24.5%)有关,但在研究期间存在差异。入院患者主要是儿童(43.8%),但也发现有各个年龄段的患者。临床表现与年龄有关,新生儿和成人以中枢神经系统感染为主,1-2 岁儿童以皮肤感染为主(17.2%)。门诊就诊的主要是 1-2 岁儿童(55.0%),其中 77.9% 出现皮肤症状。我们显示了 EV 感染的季节性模式,夏季/秋季达到高峰,与 COVID-19 缓解措施(包括国家封锁期)相关的 EV 住院负担受到明显影响。在研究期间,25% 的住院病例发生在 2020-2022 年期间。总体而言,皮肤感染在门诊就诊中占主导地位,而大多数住院病例是由于中枢神经系统感染。大流行期间并没有改变 EV 感染的季节性模式,但中枢神经系统感染的入院人数明显减少,而皮肤感染的门诊人数则有所增加。
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引用次数: 0
Emergence of enterovirus D68 in a Norwegian paediatric population 2012-2022 2012-2022 年挪威儿科人群中出现的 D68 型肠道病毒
Q4 VIROLOGY Pub Date : 2024-02-08 DOI: 10.3389/fviro.2024.1358963
Elisabeth Toverud Landaas, Ingvild Klundby, Per Kristian Knudsen, Anne-Marte Bakken Kran, Susanne Dudman, Andreas Lind, Mona Holberg-Petersen
Background

Enterovirus D68 (EV-D68) primarily causes respiratory infection, occasionally manifesting with neurological symptoms. Outbreak reports have been published from various countries including Norway, but a longitudinal study on EV-D68 prevalence in Northern Europe is lacking.

Methods

Respiratory samples from children ≤14 years received at Oslo University Hospital in the years 2012-2022 were examined for EV-D68. Samples from 2012-2015 were retrospectively screened using a semi-specific RT-PCR, with positive samples confirmed by an EV-D68 specific RT-PCR. Samples from 2016-2022 underwent routine diagnostics with the EV-D68 specific RT-PCR.

Results

Among the 22,911 samples tested, EV-D68 was detected in 338 samples (324 patients). Most EV-D68 cases occurred in August to December. The highest detection rate was recorded in 2014, 2016 and 2022 (6.0%, 7.8% and 6.6% of samples from August-December). Lower frequencies were observed in 2018 and 2019 (1.0% and 2.4%), and in the years before the 2014 outbreak (2012: 1.3%, 2013: 0.8%). Few cases were identified in 2020-2021. Children aged 0-1 years accounted for 40%, and 0-4 years for 78%, of the EV-D68 positive patients. Most of the patients with EV-D68 (83%) were hospitalised.

Discussion

Also in Norway, EV-D68 has caused outbreaks with significant disease burden, especially among the youngest children. The detection rate varies, with a trend towards biennial outbreaks, except for low numbers in 2018 and during the COVID-19 restrictions (2020-2021). Due to its potential for severe respiratory illness and significant neurological complications, conducting EV-D68 testing is essential both for diagnosing clinically suspected cases, and for monitoring the disease burden.

背景肠道病毒D68(EV-D68)主要引起呼吸道感染,偶尔表现为神经系统症状。方法对2012-2022年期间奥斯陆大学医院接收的14岁以下儿童的呼吸道样本进行了EV-D68检测。使用半特异性 RT-PCR 对 2012-2015 年的样本进行了回顾性筛查,并通过 EV-D68 特异性 RT-PCR 对阳性样本进行了确认。结果在检测的 22911 份样本中,有 338 份样本(324 名患者)检测到了 EV-D68。大多数 EV-D68 病例发生在 8 月至 12 月。2014 年、2016 年和 2022 年的检出率最高(占 8 月至 12 月样本的 6.0%、7.8% 和 6.6%)。2018 年和 2019 年(1.0% 和 2.4%)以及 2014 年疫情爆发前几年(2012 年:1.3%,2013 年:0.8%)的检出率较低。2020-2021 年发现的病例很少。在 EV-D68 阳性患者中,0-1 岁儿童占 40%,0-4 岁儿童占 78%。大多数EV-D68患者(83%)都住院治疗。除2018年和COVID-19限制期间(2020-2021年)发病率较低外,检出率各不相同,呈两年一爆发的趋势。由于 EV-D68 有可能导致严重的呼吸道疾病和重大的神经系统并发症,因此进行 EV-D68 检测对于诊断临床疑似病例和监测疾病负担都至关重要。
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引用次数: 0
Enterovirus-D68 – a reemerging non-polio enterovirus that causes severe respiratory and neurological disease in children 肠道病毒-D68--一种重新出现的非脊髓灰质炎肠道病毒,可导致儿童患上严重的呼吸道和神经系统疾病
Q4 VIROLOGY Pub Date : 2024-01-26 DOI: 10.3389/fviro.2024.1328457
Cassandra S. Grizer, Kevin Messacar, Joseph J. Mattapallil

The past decade has seen the global reemergence and rapid spread of enterovirus D68 (EV-D68), a respiratory pathogen that causes severe respiratory illness and paralysis in children. EV-D68 was first isolated in 1962 from children with pneumonia. Sporadic cases and small outbreaks have been reported since then with a major respiratory disease outbreak in 2014 associated with an increased number of children diagnosed with polio-like paralysis. From 2014-2018, major outbreaks were reported every other year in a biennial pattern with > 90% of the cases occurring in children under the age of 16. With the outbreak of SARS-CoV-2 and the subsequent COVID-19 pandemic, there was a significant decrease in the prevalence EV-D68 cases along with other respiratory diseases. However, since the relaxation of pandemic social distancing protocols and masking mandates the number of EV-D68 cases have begun to rise again-culminating in another outbreak in 2022. Here we review the virology, pathogenesis, and the immune response to EV-D68, and discuss the epidemiology of EV-D68 infections and the divergence of contemporary strains from historical strains. Finally, we highlight some of the key challenges in the field that remain to be addressed.

肠道病毒 D68(EV-D68)是一种呼吸道病原体,可导致儿童严重呼吸道疾病和瘫痪。EV-D68 于 1962 年首次从患肺炎的儿童中分离出来。从那时起,就有零星病例和小规模疫情报告,2014 年爆发了一次大规模呼吸道疾病疫情,与此同时,确诊为脊髓灰质炎样瘫痪的儿童人数增加。从 2014 年到 2018 年,每隔一年就会报告一次重大疫情,呈两年一次的模式,> 90% 的病例发生在 16 岁以下的儿童身上。随着 SARS-CoV-2 的爆发和随后 COVID-19 的大流行,EV-D68 病例和其他呼吸道疾病的发病率显著下降。然而,自从大流行病社会隔离协议和掩蔽规定放宽后,EV-D68 病例数又开始上升,最终导致 2022 年再次爆发。在此,我们回顾了 EV-D68 的病毒学、发病机制和免疫反应,并讨论了 EV-D68 感染的流行病学以及当代菌株与历史菌株的差异。最后,我们强调了该领域有待解决的一些关键挑战。
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引用次数: 0
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Frontiers in virology
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